Institute of Health Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland.
Int J Environ Res Public Health. 2020 Mar 5;17(5):1706. doi: 10.3390/ijerph17051706.
The aging is a multi-faceted process comprising both-the physical and mental alterations. Thus, the aim of the study was to evaluate the variables affecting the psychophysical state of the elderly people using wheelchairs and living in nursing homes (NH). 165 older wheelchair users were included in the study after meeting the inclusion criteria and expressing written consent. The assessment involved cognitive functioning, depression, body balance and flexibility, lung capacity and upper limbs dexterity, strenght and endurance. showed negative correlation between depression and balance, upper limb dexterity and endurance and shoulder flexion. A positive correlation between cognitive functioning and balance, upper limb dexterity, strenght and endurance, lung capacity and joint mobility was determined. Also, the study proved positive correlation between daily functioning and functional fitness, muscle strength and endurance, body flexibility, joint mobility. The regression analysis showed that better scores in balance test and joint mobility implied with higher scores in cognitive functioning. The most important determinants of functional fitness were balance, hand grip strenght and joint mobility. The future study should be focused on developing interventions aimed at senior wheelchair users living in NHs to prevent the deterioration of their mental and physical fitness.
衰老是一个多方面的过程,包括身体和心理的变化。因此,本研究的目的是评估使用轮椅和居住在养老院(NH)的老年人的心理生理状态的影响因素。在满足纳入标准并表示书面同意后,165 名老年轮椅使用者被纳入研究。评估包括认知功能、抑郁、身体平衡和柔韧性、肺活量和上肢灵巧度、力量和耐力。结果表明,抑郁与平衡、上肢灵巧度和耐力以及肩屈伸呈负相关。确定认知功能与平衡、上肢灵巧度、力量和耐力、肺活量和关节活动度之间存在正相关。此外,该研究还证明了日常功能与功能适应性、肌肉力量和耐力、身体柔韧性、关节活动度之间存在正相关。回归分析表明,平衡测试和关节活动度的评分越高,认知功能的评分也越高。功能适应性的最重要决定因素是平衡、手握力和关节活动度。未来的研究应集中于为居住在 NH 的老年轮椅使用者制定干预措施,以防止他们的身心功能下降。